Individual provider Active NPI

James M. Callas, MD

  • Diagnostic Radiology Physician
  • Killeen, TX
National Provider Identifier
1316933401
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
L5267 Issued in TX
Practice address
3800 S W S Young Dr Ste 201
Killeen, TX 76542-3340
Phone
(254) 245-9175
Fax
(254) 213-7771
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X L5267 TX Primary

Addresses

Primary practice location

3800 S W S Young Dr Ste 201
Killeen, TX 76542-3340

Mailing address

1905 SW H K Dodgen Loop
Temple, TX 76502-1814
Phone (254) 298-2682

Other practice location 1

1905 SW H K Dodgen Loop
Temple, TX 76502-1814
Phone (254) 298-2682

Other identifiers 1

IdentifierTypeStateIssuer
165223201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040616001116 TX Practitioner - Diagnostic Radiology 4284618257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of the South Medical Department, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

3707 S 2ND St
100 Ascension Medical Group Seton Orthopedi
Austin, TX 78704-7049
Phone (512) 246-4488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L5267TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Austin Health Imaging LLC CurrentSince Dec 1, 2018 Accepting new patients
Seton Family of Doctors CurrentSince Jan 4, 2019 Accepting new patients
Seton Family of Doctors CurrentSince Jan 4, 2019 Accepting new patients

Locations

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

3707 S 2nd St
Ste 100
Austin, TX 78704
Phone (512) 324-9170

3721 Williams Dr
Georgetown, TX 78628
Phone (512) 869-7310

1101 Wolf Lake Dr
Ste 100
Georgetown, TX 78628
Phone (877) 324-3310

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1909 SW H K Dodgen Loop
Temple, TX 76502
Phone (254) 298-2603

1905 SW H K Dodgen Loop
Temple, TX 76502
Phone (254) 298-2400

5656 Bee Caves Rd
Ste M300
West Lake Hills, TX 78746
Phone (512) 306-1747

Interoperability endpoints

  • Direct secure messaging: james.callas.1@8363.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1316933401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 SW H K DODGEN LOOP",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765021814",
            "telephone_number": "254-298-2682",
            "fax_number": "254-778-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 S W S YOUNG DR STE 201",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765423340",
            "telephone_number": "254-245-9175",
            "fax_number": "254-213-7771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 SW H K Dodgen Loop",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765021814",
            "country_code": "US",
            "telephone_number": "254-298-2682",
            "fax_number": "254-778-7197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLAS",
        "first_name": "JAMES",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L5267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165223201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.